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American Journal of Neuroradiology 25:333-337, February 2004
© 2004 American Society of Neuroradiology

Case Report
INTERVENTIONAL

Stent-Coil Treatment of a Distal Internal Carotid Artery Dissecting Pseudoaneurysm on a Redundant Loop by Use of a Flexible, Dedicated Nitinol Intracranial Stent

G. Lee Pride, Jr.a,b, Robert E. Reploglea,b, George Rapparda, Christopher L. Taylor Dion Graybealc, Jonathan Whiteb and Phillip Purdya,b

a Department of Radiology-Neuroradiology Division, University of Texas Southwestern Medical Center, Dallas, TX
b Department of Neurosurgery, University of Texas Southwestern Medical Center, Dallas, TX
c Department of Neurology, University of Texas Southwestern Medical Center, Dallas, TX

Address correspondence to G. Lee Pride, Jr, MD, University of Texas Southwestern Medical Center, 5323 Harry Hines Boulevard, Dallas, TX 75390

Summary: Treatment of dissecting pseudoaneurysms of the distal cervical internal carotid artery with preservation of the parent artery by using stents or coils has become routine. Tortuosity remains a significant obstacle to successful endovascular treatment in some cases. We report the use of a stent-coil technique to treat a nonhealing dissecting pseudoaneurysm and associated stenosis with anatomic preservation of a redundant loop involving the stented arterial segment. This was accomplished by using a Neuroform dedicated intracranial stent.




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Y. Kadkhodayan, D. T. Jeck, C. J. Moran, C. P. Derdeyn, and D. T. Cross III
Angioplasty and Stenting in Carotid Dissection with or without Associated Pseudoaneurysm
AJNR Am. J. Neuroradiol., October 1, 2005; 26(9): 2328 - 2335.
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Copyright © 2010 by the American Society of Neuroradiology. Print ISSN: 0195-6108 Online ISSN: 1936-959X